A bill that would establish a clear pathway for Mississippians seeking to become professional midwives passed the House after dying in committee several years in a row. 

“Midwives play an important role in our state, especially in areas where maternal health care is scarce,” said Rep. Dana McLean, R-Columbus and author of the bill. “I’m happy that House Bill 927 passed the House yesterday and urge our senators to join us in passing this much-needed legislation.”  

Despite the legislation imposing regulations on the profession and mandating formalized training, many midwives have voiced their support of the bill. They say it will help them care more holistically for women and allow them new privileges like the ability to administer certain labor medications – and will open the door to insurance reimbursement in the future. 

“We have so few midwives integrated in the system and so few midwives practicing in the state,” explained Amanda Smith, a midwife in Hattiesburg who went out of state to receive her professional midwifery license. “We believe that licensure really will help create a clear pathway so people know exactly how to become a midwife in Mississippi.”

It isn’t guaranteed that the bill would make midwifery more accessible to low-income women. But licensure makes it more likely. 

Currently, neither Medicaid nor private insurance reimburse for unlicensed midwifery services. Licensing professional midwifery wouldn’t necessarily mean that insurance companies would immediately start reimbursing for the services, but it’s the only way they might. 

A new federal program is seeking to make midwifery reimbursable by Medicaid. 

Mississippi is one of 15 states chosen by the federal government to participate in a new grant program called the Transforming Maternal Health Model, which began in January 2025 and will work to expand access and reimbursement for services – including licensed midwifery. 

The bill has historically faced opposition both from those who think it does too much, as well as those who think it does too little. 

To those who think it overregulates the profession, McLean says her loyalty lies with her constituents and making sure they have the most transparency when seeking birth options. Currently, anyone can operate under the title midwife in the state of Mississippi – with no required standard of training. 

“We are legitimizing (professional midwifery) … As a legislator, it’s my duty to try to protect the citizens of Mississippi,” McLean said. “And by putting this legislation forward, it helps to inform those clients that would want the services of a midwife but don’t know how to choose.”

As for those who think it does too little, McLean says the bill would leave the details up to a board – established by the bill and made up mostly of midwives – who would be able to decide requirements for professional midwifery better than a room full of lawmakers. 

“There’s a lot of men in here that know a lot about birthing babies,” McLean said during a lively floor debate Thursday.

The bill now advances to the Senate. 

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